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Obese Women: Should They Gain Weight During Pregnancy?

Posted by Healthy Pregnancy on Thursday, March 22, 2012

For women suffering from obesity, the pregnancy is more complicated in many respects. Recommendations regarding the weight they can take during the nine months were studied in a U.S. study.
Obesity and pregnancy: official recommendations


Weight gain during pregnancy is always a sensitive issue, even for women who are at their ideal weight at the start. For women who start their pregnancy in obese, this is much worse. The recommendations are relatively simple: for women suffering from obesity (BMI over 30), weight gain should be between 6 and 10 pounds (compared with the range for normal weight women, which are 11 to 16 kg).




Obesity leads to complications during pregnancy


Weight during the pregnancy deserves to be taken seriously. Do not take sufficient weight is indeed a risk factor for premature birth and birth weight for babies too low. Take too much weight also leads to a risk of complications for the baby (too large) and mother (diabetes, hypertension). When you know that obesity in itself is already supporting these dangers, it is understood that the subject is important for the health of mothers.

Questions about weight gain in obese women


A new study in the United States on a small sample of women (232 totals) focused on evaluating the results of a plan done by women obese and pregnant. Half the women were in the group "Control", and received only general advice during an appointment with a nutritionist. The other half were followed at regular meetings, will advise seeing a balanced diet and should keep a notebook in which all food consumed was recorded. The scheme was not restricted to the extreme, and it was not advisable for women to weigh themselves, for they focus on the quality of their food and not the number of pounds.


What results?


Finally, women in the study group weighed an average of 13 pounds less just before childbirth than those who had regular follow-up. For the group of women who took less than 5 kg (40% of them had even lost weight), the frequency of cesarean sections was higher, but that of gestational diabetes was much lower. 

The weight of the baby was not significantly affected by the low weight gain. The authors' conclusion of the study was that women suffering from obesity have not actually need to gain weight during pregnancy, but the small sample size may prevent to rule so as categorical. The best advice for pregnant women, obese or not, remains not to focus too much on the pounds, but rather to provide a high quality food and to avoid excesses during pregnancy and at other times.


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